A client arrives to the healthcare setting currently taking atorvastatin (Lipitor) daily. Which assessment finding associated with atorvastatin (Lipitor) would need immediate reporting to the healthcare provider?

bradycardia

elevated HDL cholesterol

migraine headache

dark-red urine

Answer and Explanation

The Correct Answer is D

A. Bradycardia is not a direct side effect of atorvastatin and may require further context for concern.

B. Elevated HDL cholesterol is a positive outcome of atorvastatin therapy and does not require reporting.

C. A migraine headache is not typically a direct side effect of atorvastatin but could warrant discussion if it affects the client's overall well-being.

D. Dark-red urine may indicate potential muscle breakdown (rhabdomyolysis) associated with atorvastatin and should be reported immediately due to the risk of kidney damage.

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Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"D"}

Explanation

aPTT (Activated Partial Thromboplastin Time) is the primary lab test used to monitor the effectiveness of unfractionated heparin therapy. Heparin works by activating antithrombin III, which inhibits thrombin and factor Xa, thus prolonging the aPTT. Monitoring aPTT helps ensure that the heparin dose is therapeutic and reduces the risk of bleeding.

PT-INR (Prothrombin Time - International Normalized Ratio) is used to monitor patients on warfarin therapy. Warfarin inhibits vitamin K-dependent clotting factors, which affects the prothrombin time (PT). The INR standardizes PT results, allowing for consistent monitoring of anticoagulation status. It is critical to maintain the INR within the therapeutic range to balance the risk of thrombosis against the risk of bleeding.

A. doxazosin B. carvedilol C. lisinopril D. Clonidine

Correct Answer is C

Explanation

A. Doxazosin is an alpha-1 blocker that can be used for hypertension but is not a first-line option.

B. Carvedilol is a beta-blocker used in heart failure and post-MI but is not the first choice for initial hypertension treatment.

C. Lisinopril, an ACE inhibitor, is widely recognized as a first-line treatment for hypertension due to its effectiveness and favorable side effect profile.

D. Clonidine is generally not considered a first-line treatment for hypertension due to potential side effects and the availability of more effective alternatives.

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A client arrives to the healthcare setting currently taking atorvastatin (Lipitor) daily. Which assessment finding associated with atorvastatin (Lipitor) would need immediate reporting to the healthcare provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"D"}

Explanation

The nurse is caring for a client newly diagnosed with hypertension and requires medication therapy. Which of the following medications below is considered a first line treatment for hypertension?

Correct Answer is C

Explanation

A client with hypertension and benign prostate hyperplasia is prescribed doxazosin (Cardura). Which of the following statements below would the nurse emphasize regarding doxazosin (Cardura)?

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